Month: July 2022

A 63 year old Music teacher has a full thickness inferior myocardial infarction. The paramedics feel that it is “thrombolysable” based on their ECG tracing. What would you expect to see on the ECG? ST elevation in II III AVF ST elevation V1 V2 V3 ST elevation V4 V5 V6 T wave inversion only ST […]

Continued from previous question. In this patient (inferior MI), which coronary artery(s)/ arterial territory is most likely to be affected? Left Main Stem Left Anterior descending Right coronary artery Left Obtuse Marginal Circumclex

Continued from previous question. The ECG actually shows an anterior myocardial injury. The medical student feels its a “thrombolysable” anterior MI. Which of the following changes would make the ECG “thrombolysable”? ST elevation of 1mm in leads V1 and V3 ST elevation of 1mm in leads V1 and V2 only ST elevation of 1mm In […]

A patient makes a good recovery following emergency treatment. She is a non smoker. Her cholesterol is 3.1 (<5.5) with an HDL of 1. Assuming she has no contraindications to any of the following which class of drugs should she take following her STEMI? (please select all that apply) ACE inhibitor Statin Calcium Channel Blocker […]

A 62 year old man is breathless following his heart attack. He is unable to climb a flight of 10 stairs without stopping. Which of the following is true? He has NYHA (New York Heart Association) class I heart failure He has NYHA class II heart failure He has NYHA class III heart failure He […]

A patient has mixed aortic valve disease. How could you make the diastolic murmur in this case louder? Roll the patient into the left lateral position Lie the patient flat Listen in expiration Listen in inspiration None of the above

Which of the following is not true of Mitral Regurgitation? The S1 can be soft The murmur is Pansystolic There is no A wave in the JVP The murmur may be due to functional dilation of the LV (e.g. in cardiomyopathy) It is a common cause of atrial fibrillation

A patient has ongoing pain and has ECG changes that are considered “thrombolysable”. Based on the available evidence what is the best treatment for her? Thrombolyse immediately Emergency Angiography +/- +/- plasty/stent * Either Thrombolysis or emergency angiography+/- plasty/ stent have almost identical outcomes Emergency Coronary artery Bypass Graft None of the above

In aortic stenosis with regards to the second heart sound which of the following is true? It does not “split” There is splitting of the S2 P2 (pulmonary) and A2 (aortic) There is reverse splitting of the S2

A man presents with blackouts. His cardiac exam is as follows: Pulse: Slow rising First heart sound (s1): normal Second Heart sound (s2) : normal Murmur: Ejection systolic and early diastolic rumbling murmur What is the most likely diagnosis? Aortic Stenosis Aortic Stenosis with Aortic Regurgitation Aortic Stenosis with Mitral Regurgitation Mitral stenosis with mitral […]